2023年5月第30卷第5期补肾壮骨汤联合PKP对骨质疏松性椎体压缩性骨折患者腰部疼痛及功能康复的影响张存祥（滑县新区医院骨伤二科，河南安阳456400）【摘要】目的探讨补肾壮骨汤联合经皮椎体后凸成形术（PKP）对骨质疏松性椎体压缩性骨折（OVCF）患者腰部疼痛及功能康复的影响。方法将我院行PKP治疗的70例OVCF患者随机分为两组各35例。对照组术后服用西药，研究组术后第1d开始服用补肾壮骨汤，两组均连续服用4周。比较两组的临床疗效、腰部疼痛和功能康复情况。结果研究组的总有效率高于对照组（P＜0．05）。研究组的VAS评分低于对照组，椎体前缘高度与椎体中线高度高于对照组（P＜0．05）。结论补肾壮骨汤联合PKP治疗OVCF患者能够有效减轻腰部疼痛感，促进椎体功能康复，疗效确切，值得推广。【关键词】骨质疏松性椎体压缩性骨折；补肾壮骨汤；经皮椎体后凸成形术；腰部疼痛中图分类号：R687.3文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.05.0633InfluenceofBushenZhuangguDecoctionCombinedwithPKPonLumbarPainandFunctionalRehabilitationinPatientswithOsteoporoticVertebralCompressionFractureZHANGCunxiang(2ndDepartmentofOrthopedicsandTraumatology,HuaxianNewDistrictHospital,Anyang456400,China)[Abstract]ObjectiveToexploretheinfluenceofBushenZhuanggudecoctioncombinedwithpercutaneouskyphoplasty(PKP)onlumbarpainandfunctionalrehabilitationinpatientswithosteoporoticvertebralcompressionfracture(OVCF).Methods70OVCFpatientsundergoingPKPinourhospitalwererandomlydividedintotwogroups,with35casesineachgroup.Thecontrolgrouptookwesternmedicineaftersurgery,andthestudygroupbegantotakeBushenZhuangguDecoctiononthefirstdayaftersurgery.Bothgroupsweretreatedfor4consecutiveweeks.Theclinicalefficacy,lumbarpainandfunctionalrehabilitationwerecomparedbetweenthetwogroups.ResultsThetotaleffectiverateofthestudygroupwashigherthanthatofthecontrolgroup(P<0.05).TheVASscoreofthestudygroupwaslowerthanthatofthecontrolgroup,andthevertebralbodyheightoffrontedgeandcentrallinewerehigherthanthoseofthecontrolgroup(P<0.05).ConclusionsBushenZhuangguDecoctioncombinedwithPKPcaneffectivelyrelievethelumbarpainandpromotetherecoveryofvertebralfunctioninOVCFpatientswithexactefficacy,which...
